Individual
DIANE MAROLDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP
Contact information
Practice address
2073 KLOCKNER RD, HAMILTON, NJ 08690
(609) 584-1212
(609) 584-0103
Mailing address
2073 KLOCKNER RD, HAMILTON, NJ 08690
(609) 584-1212
(609) 584-0103
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR11349500
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00058300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-3052989
TAX ID
—
05
—
8221405
—
NJ
Enumeration date
01/09/2006
Last updated
01/28/2010
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